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Nitesh Kumar Jain

Internal Medicine

Allopathic & Osteopathic Physicians

743 Spring St NE, Gainesville, GA 30501-3899

PECOS Enrollment

This provider is enrolled in PECOS as NITESH JAIN.

Based on the most recent information from CMS, provider Nitesh Kumar Jain is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1881876647
Provider Type
Individual
Full Name
Jain, Nitesh Kumar
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
12/3/2007
Last Updated
6/18/2025

Contact Information

Practice Location

743 Spring St NE, Gainesville, GA 30501-3899

(770) 219-9000

Unlisted Fax

Mailing Location

1170 Chasewood Trl, Alpharetta, GA 30005-8875

(717) 495-1276

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 99123 Georgia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Q2306 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 66253 Minnesota
Code 207RC0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 99123 Georgia
Code 207RC0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Q2306 Texas
Code 207RC0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 66253 Minnesota
Code 207RP1001X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 66253 Minnesota

Nitesh Kumar Jain

PECOS Enrollment

Profile Details

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